Laura D. Garrett, DVM, DACVIM (oncology)


CVC highlight: How to break bad news to veterinary clients

Communication strategies and tips for breaking difficult news to clients.

Jane Barber, DVM, MS, DACT


Cesarean section in the bitch: Why mine is different from yours (Proceedings)

For the committed dog breeder, what begins with a single pet as a casual hobby evolves into an avocation that is truly life-transforming. Often their every minute and dollar are expended in pursuit of their chosen "dog sport:"

Gene H. Nesbitt, DVM, MS, DACVD


The pruritic dog: Differential diagnoses (Proceedings)

A systematic approach to a dermatologic diagnosis begins with a good history followed by a thorough physical examination.

Nancy Douglas


Thanks, Firstline

I just received my first issue of Firstline—wow! So many of your articles seem to hit on things going on in our office. Thanks!

Nancy Allen


Caught in the act

A grouchy client leaves the practice with a smile on her face. A co-worker finishes inventory 10 minutes earlier because you offered a helping hand. Those may seem like small accomplishments, but Nancy Allen, practice manager at Olathe Animal Hospital in Olathe, Kan., says these efforts deserve a thanks.

Avi Blake, DVM


Are the equine redheads really the tempests of the horse world?

Researchers take a closer look at the chestnut horse's fiery image.

Rick Wall, DVM


Myofascial pain in dogs (Proceedings)

Myofascial Pain is a rarely recognized pain generator for both acute and chronic pain in dogs. It is both defined by and diagnosed by the presence of muscle pain originating from myofascial trigger points (MTrPs) within the muscles.

Steven E. Holmstron, DVM, DAVDC


Leading Off: Are you providing optimal dental care?

Dr. Steven Holmstrom provides insight into the most recent dental care guidelines from AAHA.

A.D. Elkins, DVM, MS, DACVS


Veterinary medical errors: Tell the truth, do it quickly

Saying you're sorry may go against everything you've been taught as a confident veterinarian, but being honest is the best option

Veterinary Pet Insurance Co.


A Veterinarian's Guide to Pet Health Insurance (Sponsored by VPI)

This guide from the National Commission on Veterinary Economic Issues focuses on how veterinary pet insurance affects the practice, the client and the patient.

Michal O. Hess, DVM


Clinical Exposures: Copper-associated hepatitis in a Doberman pinscher

The outcome in this dog was not good, illustrating the necessity of identifying this disorder early.

Adam Dixon


Prepare clients for potential charges

Q How can we prepare clients for unexpected costs that result from problems found during dental cleanings?

Eliza Sundahl, DVM, DABVP (feline practice)


Sample scripts: How to respond to cat owners who resist veterinary care

Consider the common phrases cat owners utter when you suggest routine veterinary care for their cats. Then use these scripts to improve compliance.

Elisa M. Mazzaferro, MS, DVM, PhD, DACVECC


Gastric dilatation-volvulus: The twisted truth

Rapid stabilization, surgical intervention, and intensive postoperative care are key to successful GDV management.

Katherine Bontrager


5 ways to get lucky

Don't wait for luck to happen. Go make it with this sage advice.

Robert L. Hamlin, DVM, PhD, DACVIM


Mitral regurgitation: The most common heart disease in dogs (Proceedings)

The client wants to know, and will pay for, each test you perform or each drug you give, that has a reasonable expectation of making their pet feel better or live longer.

Tracy Geiger, DVM, Dipl. ACVIM


Canine cutaneous mast-cell tumors: Current concepts for patient management

Aspirates of the liver and spleen are indicated if these organs appear abnormal ultrasonigraphically.

Maj. Bob Dole


Veterinarians kept a close watch on animals and food at Obama's inauguration

U.S. Army veterinarians saved a horse, monitored dogs, and inspected the food supply.

Luisito S. Pablo, DVM, MS, DACVA


Constant rate infusion Analgesia (Proceedings)

Constant rate infusion (CRI) analgesia is a way of providing pain control by ensuring that the blood levels of the drugs are held constant. In practice, it entails maintaining a venous access. This technique can be used during anesthesia as part of balancing the anesthetic technique and continued to the postoperative period.

Suzy Quick


Ending team animosity at your veterinary practice

When opposite personalities collide, it can be difficult to see eye-to-eye. Look for fresh perspective on coworkers' differences to achieve harmony in your workplace.

Paul Pion, DVM, Dipl. ACVIM


Vin founder responds:

The query from Dr. Warren Kaplan regarding the safety of heartworm prophylaxis medications in heartworm-positive dogs deserves to be addressed. On the American Heartworm Society Web site ( it is clearly stated that: "The macrocyclic lactones may be administered to heartworm-infected dogs with few or no microfilariae. However, dogs with moderate to high microfilarial levels should be carefully monitored following administration of these drugs, as they are the most effective microfilaricides available."

Rachael Simmons


My Back Office Blunder: Shot through the ... leg? Bob gives clients a bad name

A client calls with an unbelievable tale (and zero remorse).

Mark R. Hafen, AIA


4 ways to a smaller hospital

Is bigger always better? I don't think so. With size come building and maintenance expensesforever. Look at what you need in your new veterinary clinic, plan accordingly and get creative.

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